IRIS YANG
San Antonio
Summary
Healthcare expert with a solid background in claims adjudication and revenue cycle management at the County of Alameda. Notable success in minimizing claim denials through proficient coding and compliance practices. Strong project management and teamwork capabilities foster effective results in fast-paced environments. Focused on ensuring data integrity and compliance with HIPAA standards.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Recreation Aid
Navy Station Great Lakes
Great Lakes
06.2025 - 12.2025
- Ensured compliance with Department of Defense (DoD) protocols in managing facility operations.
- Attained zero-variance financial reconciliation by implementing rigorous MWR auditing practices.
- Enhanced inventory lifecycles to maintain mission readiness and deliver excellent service.
Health Care Claims Examiner II
County of Alameda, Behavioral Health Care Services
Alameda
05.2021 - 06.2023
- Achieved 100% adherence to county and state policies while processing 150-250 mental health claims daily.
- Utilized expertise in Medi-Cal, Medicare, and MEDS systems to address clinical documentation complexities.
- Reduced claim denials by applying ICD-10/CPT coding knowledge alongside federal compliance standards.
- Enhanced provider relations through precise eligibility verification and effective claims management strategies.
Medical Record Technician
County of Alameda, Public Health Department
Alameda
06.2019 - 04.2021
- Managed lifecycle of patient case records while ensuring audit readiness through rigorous data integrity checks.
- Directed reimbursement pathways using MEDS system for Medi-Cal eligibility verification.
- Abstracted and assigned accurate coding (ICD-10-CM, CPT, HCPCS) for complex medical diagnoses.
- Maintained data integrity within EHR systems to facilitate seamless information exchange across healthcare environments.
- Achieved 100% compliance with HIPAA regulations and county standards in documentation processes.
Research Administrative Coordinator
Kaohsiung Medical University
Kaohsiung
06.2018 - 03.2019
- Ensured rigorous administrative and procedural compliance for Ministry of Science and Technology projects.
- Tracked project milestones systematically to support timely submissions for program funding.
- Orchestrated comprehensive seminar logistics, serving as central communication point for research teams and external partners.
Senior Pharmacy Technician
CareZone Pharmacy
California
06.2016 - 07.2017
- Utilized pharmacy management software to optimize prescription order processing.
- Effectively managed patient inquiries regarding medications and billing matters.
- Provided expert advice to physicians on formulary options for prescriptions.
- Performed quality assurance checks to verify the accuracy of prescriptions.
- Partnered with healthcare professionals to tackle medication-related challenges.
Senior Pharmacy Technician
Walgreens Pharmacy
California
06.2009 - 07.2016
- Resolved complex billing discrepancies and formulary restrictions during end-to-end prescription claims submissions.
- Ensured 100% compliance with state, federal, and pharmacy accreditation standards in all operations.
- Managed critical communications for Prior Authorizations, conveying clinical necessity to secure approvals.
- Mentored pharmacy technician team while upholding HIPAA-compliant practices through effective delegation.
Education
Master of Science - Healthcare Information Management
University of Illinois
Chicago, IL05-2027
Bachelor of Science - Biochemistry & Biomedical Laboratory Science, Chemistry
California State University, East Bay
Hayward, CA12.2009
Skills
- ICD-10, CPT, HCPCS coding expertise and EHR system proficiency
- Effective teamwork skills
- Revenue cycle management strategies
- Claims adjudication expertise
- HIPAA compliance knowledge and auditing skills
- Medi-Cal and Medicare service understanding
- Data analysis for ROI improvement
- Project management certification (PMP)
- Quality control practices in healthcare
- Healthcare compliance knowledge base
- Microsoft Office proficiency
Volunteer Experience
- VITA Tax Program Volunteer, Alameda County Social Services Agency, California
- Volunteer, Feed My Starving Children, Libertyville, IL
- Volunteer, Bernie's Book Bank, Lake Bluff, IL
- Volunteer, Children's Hospital Oakland, Pharmacy & ER Department, California
Certification
Project Management Professional (PMP), Project Management Institute, 2023
Timeline
Recreation Aid
Navy Station Great Lakes
06.2025 - 12.2025
Health Care Claims Examiner II
County of Alameda, Behavioral Health Care Services
05.2021 - 06.2023
Medical Record Technician
County of Alameda, Public Health Department
06.2019 - 04.2021
Research Administrative Coordinator
Kaohsiung Medical University
06.2018 - 03.2019
Senior Pharmacy Technician
CareZone Pharmacy
06.2016 - 07.2017
Senior Pharmacy Technician
Walgreens Pharmacy
06.2009 - 07.2016
Master of Science - Healthcare Information Management
University of Illinois
Bachelor of Science - Biochemistry & Biomedical Laboratory Science, Chemistry
California State University, East Bay